A Comprehensive Strategy for Dealing with Payors' Wrongful Behavior

Underpaid and unpaid claims can be financially devastating for clinical services.

Practices try to negotiate, but payors have overwhelming asymmetry of resources, scale and information.

Some turn to the IDR process to recover losses, but it’s expensive and can tie up accounts receivable for a year or more. And even when practices win, payors often delay or withhold payment.

Most practices are unaware that IDR is not the sole mechanism for recovering underpaid or unpaid claims.

Because litigation is perceived as expensive, risky, and time‑consuming, practices are understandably hesitant to invest additional capital in pursuing claims that have already been classified as lost revenue.

Our unique approach can transfer the risk and cost of litigation to us. The Litigation Resource team, and Payor Negotiation team provide a holistic solution set typically accessible only to the largest healthcare provider entities. Our Capital Group may also deploy specific financial instruments to leverage a resolution.

CareTrust Advisors brings a unique operating team to recover your cases—while mitigating risk—and enabling fair payor negotiations. 

We create a comprehensive strategy to level the playing field with payors.